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Questions 227

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Extract:

A nurse is administering blood to a patient who has a low hemoglobin count.


Question 1 of 5

The patient asks how long the RBC last in the body? The correct response is:

Correct Answer: D

Rationale: Red blood cells have a lifespan of approximately 120 days.

Extract:


Question 2 of 5

The intent of the Patient Self Determination Act (PSDA) of 1990 is to:

Correct Answer: B

Rationale: The PSDA promotes advance decision-making for medical care, encouraging clients to plan before a crisis. It does not set a federal standard or focus solely on legal control or education. Coordinated Care

Question 3 of 5

Which client is at highest risk for developing a pressure ulcer?

Correct Answer: C

Rationale: 75 year-old with left sided paresthesia who is incontinent of urine and stool. Risk factors for pressure ulcers include: immobility, absence of sensation, decreased LOC, poor nutrition and hydration, skin moisture, incontinence, increased age, decreased immune response. This client has the greatest number of risk factors.

Extract:

Ms. L had a C-section done. She delivered a healthy baby boy. On her 1st post operative day, Ms. L's roommate called the nurse & reports that Ms. L was very anxious & pale looking. Other clients were in Ms. L's room trying to help out. Upon assessment, her BP was 80/60, HR 110bpm.


Question 4 of 5

The top nursing priority includes:

Correct Answer: A

Rationale: Hypotension and tachycardia suggest postpartum hemorrhage, requiring immediate physician notification.

Extract:

The nurse is assigned to a patient newly diagnosed with active tuberculosis.


Question 5 of 5

Which of these interventions would be a priority for the nurse to implement?

Correct Answer: D

Rationale: A negative pressure room and masks prevent airborne transmission of tuberculosis, a priority for infection control.

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